ArticleUpdates in surgery2023
Minimally invasive approach to incisional hernia in elective and emergency surgery: a SICE (Italian Society of Endoscopic Surgery and new technologies) and ISHAWS (Italian Society of Hernia and Abdominal Wall Surgery) online survey.
Article in Updates in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- The concept of Laparoscopic Intracorporeal Rectus Aponeuroplasty (LIRA) technique in complex abdominal hernias based on size and location.BMC surgery · 2026Article
- Long-term outcomes of a modified LIRA (laparoscopic intracorporeal rectus aponeuroplasty) technique for ventral hernia repair.Surgical endoscopy · 2026Article
- EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions.Journal of abdominal wall surgery : JAWS · 2026Review
- The ACTIVE study: surgical outcomes for minimally invasive and open approach to incisional ventral hernias in a non-elective setting.Updates in surgery · 2025Article
- Emergency robotic surgery: the experience of a single center and review of the literature.World journal of emergency surgery : WJES · 2024Review
- A narrative on diversity, equity, and inclusion in surgery: insights from the European Society of Coloproctology and identification of points for action.Updates in surgery · 2024Article
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Minimally invasive abdominal wall surgery is growing worldwide, with a constant and fast improvement of surgical techniques and surgeons' confidence in treating both primary and incisional hernias (IH). The Italian Society of Endoscopic Surgery and new technologies (SICE) and the ISHAWS (Italian Society of Hernia and Abdominal Wall Surgery) worked together to investigate state of the art in IH treatment in elective and emergency settings in Italy. An online open survey was designed, and Italian surgeons interested in abdominal wall surgery were invited to fill out a 20-point questionnaire on IH surgical procedures performed in their departments. Surgeons were asked to express their points of view on specific questions about technical and clinical variables in IH treatment. Preferred approach in elective IH surgery was minimally invasive (59.7%). Open surgery was the preferred approach in 40.3% of the responses. In emergency settings, open surgery was the preferred approach (65.4%); however, 34.5% of the involved surgeons declare to prefer the laparoscopic/endoscopic approach. Most respondents opted for conversion to open surgery in case of relevant surgical field contamination, with a non-mesh repair of abdominal wall defects. Among those that used the laparoscopic approach in the emergent setting, the majority (74%) used the size of the defect of 5 cm as a decisional cut-off. The spread of minimally invasive approaches to IH repair in emergency surgery in Italy is gaining relevance. Code-sharing through scientific societies can improve clinical practice in different departments and promote a tailored approach to IH surgery.
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